Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $28.70 / $101.64	Facility		$21.00	$28.70	$101.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.15 / $178.15 / $178.15	Facility		$178.15	$178.15	$178.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $95.00 / $313.10	Facility		$75.00	$95.00	$313.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $25.00 / $123.00	Facility		$15.00	$25.00	$123.00
Molina Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00